Emergency Nursing Research, Emergency Nurses Association, Schaumburg, IL, USA.
Emergency Nursing Research, Emergency Nurses Association, Schaumburg, IL, USA.
Geriatr Nurs. 2024 Sep-Oct;59:203-207. doi: 10.1016/j.gerinurse.2024.07.015. Epub 2024 Jul 22.
Of this study was to understand emergency nurses' use of frailty to inform care, disposition decision-making, and further assessment.
A qualitative, descriptive, exploratory approach was used. Field notes from group discussions held during a conference presession on frailty and post-session evaluation data were analyzed.
Two common ideas threaded these discussions: frailty as vulnerability to "falling through the cracks" and that of an iceberg. Participants stressed the broad and expansive ramifications of frailty, and lack of structure/process to accurately describe, quantify, and utilize the concept. Participants described issues of physical and emotional/social fragility, including being unable to complete activities of daily living independently; also of concern were the patients' social determinants of health and financial challenges.
The conceptual understanding of frailty encompassed physical, social, cognitive, and access deficits. Emergency nurses are aware of this concept and would conduct formal frailty screening if provided with training, time, and resources.
本研究旨在了解急诊护士如何利用虚弱程度来提供护理、决定处置方案，并进行进一步评估。
采用定性、描述性、探索性方法。对在脆弱性专题会前会议和会后评估数据期间举行的小组讨论的现场记录进行了分析。
这两个共同的想法贯穿了这些讨论：虚弱程度是“漏洞百出”的脆弱性，以及冰山一角。与会者强调了虚弱程度的广泛和扩展性影响，缺乏准确描述、量化和利用该概念的结构/流程。与会者描述了身体和情感/社交脆弱性的问题，包括无法独立完成日常生活活动；还关注患者的健康社会决定因素和经济挑战。
对虚弱程度的概念理解包括身体、社会、认知和获得资源的缺陷。如果提供培训、时间和资源，急诊护士就会意识到这一概念，并进行正式的虚弱程度筛查。
